Individual
LAURIE DEMARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1602
(757) 314-7666
(757) 314-7517
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1602
(757) 314-7666
(757) 314-7517
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602288
VA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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